The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
ROSE GARDEN NURSING AND REHABILITATION CENTER
TOMS RIVER, NJ · Medicare-certified · 128 beds
Needs attention
Abuse citationFor-profit
2 of 5 overall
2 out of 5 stars overall. This facility has low health inspection and staffing ratings (both 2 stars), staffing below the federal benchmark at 3.43 vs 4.1 hours per resident per day, $17,345 in fines in the last 24 months, and a recent abuse citation; quality measures are higher at 4 stars.
Facility ratings
Health inspections
Staffing
3.4293 hrs/resident/day
Quality measures
Last inspection: October 31, 2025Penalties, last 24 months: $17,345recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4293.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.95
- Nurse aides
- 1.96
- Weekend nursing
- 2.78
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.5%Improving
Residents with a fall causing major injury
5.1%Improving
Residents with pressure ulcers (bedsores)
3.6%Improving
Residents with a urinary tract infection
2.2%Worsening
Residents who lost too much weight
3.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.9%Worsening
Residents whose ability to walk got worse
4.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
24.9%Worsening
Short-stay residents newly given an antipsychotic
0.4%Improving
Residents with a long-term catheter
1.1%Steady
Residents with new or worsening incontinence
6%Improving
Residents with depressive symptoms
0.6%Worsening
Long-stay residents given the seasonal flu vaccine
99%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
99%Steady
Short-stay residents given the pneumonia vaccine
97.9%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2024 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $17,345 in total fines.
- $17,345
Federal fine
Sep 18, 2025
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 112.3 residents on an average day (88% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.